{"id":15803,"date":"2021-01-05T01:24:15","date_gmt":"2021-01-04T22:24:15","guid":{"rendered":"https:\/\/www.klimikdergisi.org\/\/2021\/01\/05\/klinik-orneklerden-izole-edilen-enterokoklarin-tedavide-kullanilan-antibiyotiklere-karsi-in-vitro-direnclerinin-arastirilmasi\/"},"modified":"2021-01-05T01:24:15","modified_gmt":"2021-01-04T22:24:15","slug":"klinik-orneklerden-izole-edilen-enterokoklarin-tedavide-kullanilan-antibiyotiklere-karsi-in-vitro-direnclerinin-arastirilmasi","status":"publish","type":"post","link":"https:\/\/www.klimikdergisi.org\/tr\/2021\/01\/05\/klinik-orneklerden-izole-edilen-enterokoklarin-tedavide-kullanilan-antibiyotiklere-karsi-in-vitro-direnclerinin-arastirilmasi\/","title":{"rendered":"Klinik \u00d6rneklerden \u0130zole Edilen Enterokoklar\u0131n Tedavide Kullan\u0131lan Antibiyotiklere Kar\u015f\u0131 In Vitro Diren\u00e7lerinin Ara\u015ft\u0131r\u0131lmas\u0131"},"content":{"rendered":"<h1>\u00d6zet<\/h1>\n<p> <strong>Ama\u00e7<\/strong>: Bu \u00e7al\u0131\u015fman\u0131n amac\u0131, b\u00f6lgemizdeki infeksiyonlardan izole edilen enterokoklar\u0131n, daptomisin, tigesiklin, kinupristin\/dalfopristin ve klasik tedavide kullan\u0131lan di\u011fer antibiyotiklere kar\u015f\u0131 duyarl\u0131l\u0131klar\u0131n\u0131n ara\u015ft\u0131r\u0131lmas\u0131d\u0131r.<\/p>\n<p> <strong>Y\u00f6ntemler<\/strong>: Klinik \u00f6rneklerden izole edilen enterokok t\u00fcrleri API\u00ae 20 Strep (bioM\u00e9rieux, Fransa) test kitleriyle tan\u0131mlanm\u0131\u015ft\u0131r. Antibiyotik duyarl\u0131l\u0131k testleri Kirby-Bauer disk dif\u00fczyon y\u00f6ntemiyle Clinical and Laboratory Standards Institute (CLSI) kriterleri uyar\u0131nca, dok\u00fcman M100-S20 \u00f6nerilerine g\u00f6re ger\u00e7ekle\u015ftirilmi\u015ftir. Y\u00fcksek d\u00fczey aminoglikozid direnci gentamisin (120 \u00b5g) ve streptomisin (300 \u00b5g) diskleriyle; tigesiklin ve daptomisinin minimal inhibisyon konsantrasyonlar\u0131 (M\u0130K) E-test\u00ae (AB Biodisk, \u0130sve\u00e7) y\u00f6ntemiyle ara\u015ft\u0131r\u0131lm\u0131\u015ft\u0131r.<\/p>\n<p> <strong>Bulgular<\/strong>: Elli be\u015fi Enterococcus faecium, 40\u2019\u0131 E. faecalis, 2\u2019si E. durans ve 1\u2019i E. avium olmak \u00fczere 98 enterokok su\u015fu tan\u0131mland\u0131. Su\u015flar\u0131n 59 (%60)\u2019u idrardan, geri kalan\u0131 kan, yara, beyin-omurilik s\u0131v\u0131s\u0131 ve vagina s\u00fcr\u00fcnt\u00fcs\u00fc \u00f6rneklerinden izole edildi. Yatan hastalarda E. faecium izolasyon oran\u0131, E. faecalis\u2019e g\u00f6re anlaml\u0131 derecede y\u00fcksekti. Su\u015flar\u0131n t\u00fcm\u00fc linezolide duyarl\u0131; E. faecium izolatlar\u0131n\u0131n 3 (%5.5)\u2019\u00fc hem vankomisine hem teikoplanine diren\u00e7liydi. E. faecalis su\u015flar\u0131n\u0131n 10 (%25)\u2019u penisiline; 4\u2019(%10)\u2019\u00fc ampisiline; E. faecium su\u015flar\u0131n\u0131n 52 (%94.5)\u2019si penisiline, 51 (%92.7)\u2019i ampisiline diren\u00e7liydi. Y\u00fcksek d\u00fczey gentamisin\/streptomisin direncinin E. faecium su\u015flar\u0131nda (%69.1\/%43.6) E. faecalis\u2019e (%25\/%27.5) oranla daha y\u00fcksek oldu\u011fu g\u00f6r\u00fcld\u00fc. M\u0130K de\u011ferleri tigesiklin i\u00e7in 0.023-3 \u00b5g\/ml, daptomisin i\u00e7in 0.016-3 \u00b5g\/ml olarak bulundu.<\/p>\n<p> <strong>Sonu\u00e7lar<\/strong>: Y\u00f6remizde, yatan hastalardan izole edilen enterokok su\u015flar\u0131 i\u00e7erisinde E. faecium prevalans\u0131 y\u00fcksek bulunmu\u015ftur. Enterokoklarda vankomisine diren\u00e7 d\u00fc\u015f\u00fck, ancak y\u00fcksek d\u00fczey aminoglikozid direnci ve tedavide kullan\u0131lan di\u011fer antibiyotiklere diren\u00e7 y\u00fcksek oranlardad\u0131r. Enterokoklar\u0131n h\u0131zl\u0131 tan\u0131s\u0131 ve antibiyotik duyarl\u0131l\u0131klar\u0131n\u0131n h\u0131zl\u0131 belirlenmesi diren\u00e7li su\u015flarla infekte hastalar\u0131n takibi ve uygun tedavinin uygulanmas\u0131 y\u00f6n\u00fcnden \u00f6nemlidir.\u00a0<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00d6zet Ama\u00e7: Bu \u00e7al\u0131\u015fman\u0131n amac\u0131, b\u00f6lgemizdeki infeksiyonlardan izole edilen enterokoklar\u0131n, daptomisin, tigesiklin, kinupristin\/dalfopristin ve klasik tedavide kullan\u0131lan di\u011fer antibiyotiklere kar\u015f\u0131 duyarl\u0131l\u0131klar\u0131n\u0131n ara\u015ft\u0131r\u0131lmas\u0131d\u0131r. Y\u00f6ntemler: Klinik \u00f6rneklerden izole edilen enterokok t\u00fcrleri API\u00ae 20 Strep (bioM\u00e9rieux, Fransa) test kitleriyle tan\u0131mlanm\u0131\u015ft\u0131r. Antibiyotik duyarl\u0131l\u0131k testleri Kirby-Bauer disk dif\u00fczyon y\u00f6ntemiyle Clinical and Laboratory Standards Institute (CLSI) kriterleri uyar\u0131nca, dok\u00fcman M100-S20 \u00f6nerilerine [&hellip;]<\/p>\n","protected":false},"author":0,"featured_media":0,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5129],"tags":[3987,3429,4333,3906,3343,4335],"class_list":["post-15803","post","type-post","status-publish","format-standard","hentry","category-ozgun-arastirma","tag-daptomisin","tag-enterokok","tag-kinupristindalfopristin","tag-tigesiklin","tag-vankomisine-direncli-enterokok","tag-yuksek-duzey-aminoglikozid-direnci"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/15803","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/types\/post"}],"replies":[{"embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/comments?post=15803"}],"version-history":[{"count":0,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/15803\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/media?parent=15803"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/categories?post=15803"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/tags?post=15803"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}